Summary

Certified Mid-level provider specific for treatment of patients with acute and chronic liver conditions.(Advanced Liver Disease) position posted for hire for our Gastroenterology Section.

Qualifications

To qualify for this position - you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation. Grade Determinations: In addition to the basic requirements stated above - the following qualification criteria must be met in determining the appropriate grade assignment of candidates. Physician Assistant-I (PA-I)a) Experience and Education. None beyond the

Basic Requirements:

• b) Demonstrated Knowledge - Skills - and Abilities
• The following list of knowledge - skills - and abilities (KSA) present the minimum skill set expected of an Entry Level PA
• This practice may include - but is not limited to: Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care
• Ability to perform patient history and physical
• Ability to formulate a plan and provide treatment to the patient
• Ability to provide patient care that is abreast of changing concepts and advancements in the profession
• Physician Assistant-II (PA-II)a) Experience and Education
• The PA at this grade is at the intermediate grade level and has had progressively increasing responsibility and experiences as indicated in the KSAs listed below
• Individuals will have demonstrated the ability to analyze and solve more complex medical problems than at the entry level grade and can utilize their training in the successful practice of patient care and participate in team problem solving
• Individuals demonstrate the KSAs of PA-II intermediate level by: Two years of successful practice as a PA OR - Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations or other postgraduate residency programs accredited by VA - ARC-PA - U.S. Armed Forces - or another accrediting agency OR - A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education b) Demonstrated Knowledge - Skills - and Abilities (KSAs)
• PAs at this level are not required to meet each individual KSA listed below to qualify - but should be able to demonstrate - develop - or acquire those not met upon appointment for PA-II: Skills to analyze and solve complex medical problems
• Ability to function autonomously and make independent medical decisions
• Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care
• Ability to work effectively in an interdisciplinary environment for improvement of services for patient care
• Ability to practice with colleagues and peers collaboratively
• Physician Assistant-III (PA-III) a) Experience and Education
• PAs at the PA-III grade are at the full performance level and lead and organize patient care independently - practice within multi-disciplinary teams - and coordinate all aspects of patient care across the health care system
• They utilize advanced clinical knowledge and judgment in decision-making and evaluating outcomes
• They function as experts in clinical practice and/or in areas related to the assigned roles and responsibilities - may serve as mentors for transitioning PAs - and may provide training for health care students
• Individuals can demonstrate the KSAs for the full performance level by: Three years of successful practice as a PA OR Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations or other postgraduate residency programs accredited by VA - ARC-PA - U.S. Armed Forces - or another accrediting agency and one year of professional practice as a PA OR A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education and one year of professional practice as a PA
• (b) Demonstrated Knowledge - Skills - and Abilities
• PAs at this level are not required to meet each individual KSA listed below to qualify - but should be able to demonstrate - develop - or acquire those not met upon appointment for PA-III: Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care
• Skill to consistently demonstrate an elevated level of expertise and autonomy in diagnosing and treating seriously ill - multi-symptomatic patients through facility Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE)
• Ability to present clinical findings and recommendations to appropriate management officials
• Ability to clinically facilitate the delivery of patient care in collaboration with health professionals - health managers - and other health care personnel
• Ability to implement and initiate clinical changes to established treatment protocols based upon new medical literature research findings to enhance patient delivery care for improved patient outcomes
• Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records
• Reference: Physician Assistant Qualification Standard
• This can be found in the local Human Resources Office
• The full performance level of this vacancy is PA-III
• The actual grade at which an applicant may be selected for this vacancy is in the range of PA-I to PA-III
• For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: The incumbent must be able to perform all activities of the position without restriction
• This position may involve standing - walking - stooping - bending - reaching - lifting - and turning
• The work may involve going up and down flights of stairs.

Duties

• This position service as a medicine service Physician Assistant working to provide the full range of hepatology services emphasizing quality - timeliness - and the advancement of the VA mission
• This clinical position involving the provision of Gastroenterology and Hepatology services to an both new consults and an assigned panel of patients in the inpatient and outpatient setting to include use of Clinical Video Telehealth
• The GI Physician Assistant reports clinically and administratively to the Chief of Gastroenterology and works in close collaboration with Attending Gastroenterologist - Hepatologists - and support staff
• Duties and responsibilities include but are not limited to the following: Receive - triage - prioritize and schedule consults for Gastroenterology and Hepatology Clinic
• Triages elective - urgent and emergent Gastroenterology and hepatology patients and provides follow up of pertinent labs - tests and procedures
• Assists with the coordination of transplant care - in collaboration with Medicine Service Transplant Coordinators and the Community Care Transplant Coordinator RN - for patients who are either: undergoing transplant work-up - currently listed for transplant - or are status posttransplant
• Evaluate patients for endoscopic procedures - educate on potential risks versus benefits of procedures - complications of procedures - and obtain consent for procedures
• Identifies and prescribes appropriate pharmacological and non-pharmacological agents Identifies medical and health risks and needs of the individual and family because of the evaluation of collected data
• Makes appropriate referrals to other health professionals and community agencies Consults with collaborating health care professionals when doubt exists as to the diagnosis - when expected improvement is not soon apparent and when specialized therapeutic or diagnostic techniques are indicated
• Work Schedule: Monday - Friday - 8:00am - 4:30pm Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required